As far as the current level of medical science and technology is concerned, diabetes is incurable. However, diabetes can be completely treated, controlled and prevented. From this point of view, through our current scientific and reasonable treatment, the majority of diabetic patients can't say 100%, but 80% and 90% of diabetic patients can live a normal life, prevent their lives from ending prematurely because of diabetes, ensure their quality of life, and let them return to normal life. These patients need diet attention or other treatment, but they can avoid the complications of diabetes, which can be done. From this perspective, we can prolong the life of diabetic patients. One more thing, I want to emphasize that many people in China, diabetics and their families, tend to go to two extremes. If they think there is no cure, they will give up. Because a person's life is made up of time, and no matter how long a person lives, that is, more than 30 thousand days, through treatment, you can prolong your life, that is, give you life. Secondly, it is impossible for us not to get sick. It is normal for people to get sick, that is, we need frequent maintenance when building a house, but this kind of maintenance and treatment can ensure that your quality of life will not be affected. This is what science can do now. So I don't think we can say whether it can be cured in general. Through our scientific and reasonable treatment, we can achieve complete control and enjoy a healthy life. This is normal. A healthy lifestyle is the basis of diabetes treatment. Proper exercise therapy is considered as one of the three basic therapies for diabetes. Its clinical significance lies in promoting weight loss, promoting the utilization of diabetes by tissues and cells, strengthening physical fitness, insisting on exercise can improve metabolism, reduce blood sugar and blood lipid, and increase the sensitivity of human body to insulin. Therefore, diabetic patients can choose the exercise mode that suits them according to their specific situation, hobbies and objective conditions. Patients with unstable condition should not take part in exercise. Reasonable adjustment of diet structure is one of the basic treatments for diabetes. Its clinical significance lies in improving physical fitness or making obese people lose weight. Middle-aged and elderly people with or without diabetes should pay attention to healthy diet, and diabetic patients should pay more attention to scientific nutrition and reduce the metabolic burden of various organs. Reference: (1) Don't eat foods with high sugar content, such as ice cream, candy, honey, cakes, etc. (2) It is not advisable to eat foods with high fat and cholesterol, such as animal viscera, brain, heart, liver, kidney, animal fat, egg yolk, fried and baked foods. (3) Persimmons, fresh dates, red fruits, chestnuts, bananas, grapes and other fruits with high sugar content are not edible. Quit smoking and limit alcohol. (4) According to the illness, the fruits that can be eaten in moderation are: pear, strawberry, cherry, plum, watermelon, orange, orange and apple. (5) It is recommended to eat more fiber foods, such as coarse grains (buckwheat, oats, corn flour, etc. ), bean vegetables (bitter gourd, wax gourd, pumpkin, cucumber, onion, kelp and so on. ). Diet should be scientifically nutritious and reasonably selected according to the living habits of patients. Strengthening confidence in treatment, forgetting age, illness and grudges, keeping a good mood and creating a happy living space for yourself are one of the three basic treatments for diabetes. One of the treatment methods of diabetes: psychotherapy Many people think that the treatment of diabetes is mainly diet, exercise and medication. In fact, psychotherapy is very important for the control of diabetes. Optimistic and stable mood is conducive to maintaining the stability of patients' internal environment, while anxious mood will cause the secretion of some stress hormones such as adrenaline, norepinephrine, adrenocortical hormone and glucagon, thus antagonizing insulin, raising blood sugar and aggravating the condition. A correct mental state and attitude towards diseases should give full play to one's subjective initiative under the correct guidance of doctors, learn the knowledge of preventing and treating diabetes, explore the favorable and unfavorable factors affecting diseases through the monitoring of urine sugar and blood sugar, master the characteristics of one's own diseases, have strong confidence and perseverance, treat seriously without being nervous, and persistently carry out reasonable diet, physical activity and a combination of work and rest. Proper use of drugs can keep body weight, blood sugar, urine sugar, blood sugar and blood lipid at a reasonable level. When there is infection, surgery or major mental burden, it should be handled correctly in time. In short, through the cooperation of psychotherapy, the purpose of effectively controlling and preventing diabetes can be achieved. The second treatment of diabetes: diet therapy, food is the first thing for people. People don't have to exercise every day, but they must eat every day. Diet has a direct impact on diabetes, so controlling diet is very important for the treatment of diabetes. Traditional Chinese medicine believes that thirst quenching is mostly caused by excessive drinking, which damages the spleen and stomach, dereliction of duty in transportation, loss of grain and body fluid, indulgence of yin loss and changes yin deficiency into dryness and heat. For example, Huangdi Neijing said: "If this fat beauty comes from this, this person is sweet and fat, the fat person is hot inside, and the sweet person is full, then the gas overflows and the thirst is quenched." "Jing Yue Quan Shu" said: "The disease of quenching thirst is the beginning of the disease, all because of the change of fat and sweetness, and the injury of wine and color is due to the illness of the rich, and the poor are rare." It is pointed out that obese and rich people suffer from this disease, which is consistent with the understanding of the etiology of diabetes in modern medicine. Due to the secretion of insulin, the level of blood sugar is closely related to the quantity and variety of food intake. Therefore, dietotherapy is the basis of treating various types of diabetes. No matter what type of diabetes, the severity of the disease or whether there are complications, and what drugs are used, we should strictly control our diet and stick to it for a long time. As early as 1950s, Chinese and foreign treatment programs were mainly based on low-carbohydrate, high-fat and high-protein diets. According to clinical practice, this diet structure is not conducive to the islet function of diabetic patients, while high-fat diet will aggravate the vascular disease of diabetic patients, and high-protein diet will increase the incidence of diabetic nephropathy. At present, medical experts advocate high carbohydrate content, reducing fat ratio and controlling protein's diet structure, which has a good effect on improving blood sugar tolerance. The specific contents of dietotherapy are as follows: 1. According to age, sex, occupation, and standard weight [(body length-100)×0.9], the daily total calories are estimated quantitatively on a regular basis. Men need about 5% more calories every day than women. However, different ages require different calories. Generally, the number of calories required per kilogram of body weight is teenagers > middle-aged people > elderly people >, and the average height is 5%~ 10% per kilogram of body weight/day. And different manual workers consume different amounts of energy every day. Light manual workers consume 30 ~ 35 kilocalories per kilogram of body weight every day; Moderate manual workers consume 35~40kcal calories per kilogram of body weight every day; Heavy manual workers need more than 40 kilocalories per kilogram of body weight every day. Generally speaking, pregnant women, nursing mothers, malnourished people and consumptive diseases should be increased as appropriate, and obese people should be reduced as appropriate, so that the weight of patients can be kept at about 5% of normal weight, and the condition can often be satisfactorily controlled. Second, rationally adjust the proportion of the three nutrients. The proportion of sugar, fat and protein in the diet should be reasonably arranged and adjusted. It not only achieves the purpose of treating diseases, but also meets the physiological needs of human body. At present, the American Diabetes Association (ADA) advocates that carbohydrates in the diet of diabetic patients should account for 55% ~ 60% of the total calories; The intake of protein should not exceed 15% of the total daily calories. 0.8~ 1.2g per kg body weight per day is appropriate. Teenagers and pregnant women, lactating women or patients with special occupations and other complications can increase to about 1.5g; The daily total fat intake should not exceed 30% of the total calories, and the daily weight should be 0.6 ~1g. For obese patients, especially those with hyperlipidemia or arteriosclerosis, the fat intake should be adjusted according to the specific situation. 3. Diet calculation and calorie calculation There are three kinds of nutrients that supply the body with heat energy: protein, fat and carbohydrate. Among them, carbohydrate and protein can provide 4 kilocalories (1 kilocalorie = 4. 184 kilojoules) per gram of calories, and fat can provide 9 kilocalories (37.74 kilojoules) per gram of calories. According to their own labor intensity, diabetics can allocate the total calories (kilocalories) required by each person per day according to the proportion of carbohydrates accounting for 69%, protein accounting for 65,438+05% and fat accounting for 25%, and calculate the heat energy supplied by various components. Then, according to the calorie production of 9 kilocalories per gram of fat, 4 kilocalories per gram of carbohydrates and protein, we can convert the body weight needed to supply different nutrients to patients, which can be three or four meals a day. The calorie distribution of three meals is 65438+ 0/5 for breakfast, 2/5 for lunch and 2/5 for dinner. The calorie distribution of four meals is breakfast 1/7, and the other three meals are 2/7. For example, a moderate manual worker weighing 60kg and an adult diabetic with normal body shape have a total daily calorie of 2400kcal based on 40kcal per kg of body weight. According to the above ratio, 1440kcal comes from carbohydrate, 360kcal comes from protein and 600kcal comes from fat. To provide these calories, you need to supply 360 grams of carbohydrates, 90 grams of protein and 66 grams of fat. We emphasize that the method of controlling calories through diet does not require diabetic patients to calculate mechanically every day. Instead, after mastering this calculation method, calculate it again every once in a while or when the weight changes greatly, and make a diet plan for the next stage, instead of eating less sweets and greasy food. Dietary choices should be both principled and diverse. The third treatment of diabetes: exercise therapy is an effective method to prevent and treat diseases, enhance the body's resistance, help patients overcome diseases and restore health according to their functional status and disease characteristics. The benefits that exercise brings to the body will be elaborated in the following exercise methods. In the treatment of diabetes, exercise therapy is an important part, especially for the elderly and obese patients. Chinese medicine has long recognized the importance of exercise in the rehabilitation of diabetes. The Etiology in Sui Dynasty and Foreign Taiwan Secret in Tang Dynasty both recorded the physical exercise therapy for diabetes. Since then, doctors have discussed it. By the middle of the18th century, some famous foreign medical scientists also began to advocate proper physical activity for diabetic patients, and listed physical activity, diet control and insulin injection as three magic weapons to treat diabetes. Some patients with mild diabetes can recover as long as they insist on physical exercise combined with diet control.
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